JON BARRY STANLEY


Address: 61 Whitcher St Ne, Suite 4120, Marietta, GA 30060-1176
Phone: 7704249732

JON BARRY STANLEY (NPI# 1306186705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306186705
Entity Type Individual
Full Name JON BARRY STANLEY
Credential PA-C
Practice Address 61 Whitcher St Ne
Suite 4120
Marietta
GA 30060-1176
Mailing Address 76 Evergreen Way
Dallas
GA 30157-4661
Practice Telephone 7704249732
Practice Fax Number 7704210228
Mailing Telephone 4047134891
Enumeration Date 2013-02-21
Last Update Date 2013-02-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
6720 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 61 WHITCHER ST NE
SUITE 4120
City MARIETTA
State GA
Zip Code 30060-1176

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124014568 Richard W Cohen Orthopaedic Surgery 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 2005-09-21
1376050955 Gina M Soto Nurse Practitioner 61 Whitcher St Ne, Marietta, GA 30060-1176 2018-01-04
1477062594 Anna Swanson Bouchard Nurse Practitioner 61 Whitcher St Ne, Marietta, GA 30060-1176 2017-09-20
1396281200 Trevor J Wallace Physician Assistant 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 2017-01-17
1720537327 Taylor Dellinger Nurse Practitioner 61 Whitcher St Ne, Suite 3110, Marietta, GA 30060-1176 2016-09-25
1164871117 Georgiana Massad Physician Assistant 61 Whitcher St Ne, Suite 2100, Marietta, GA 30060-1176 2016-06-10
1134593809 Sarah Applegarth Physician Assistant 61 Whitcher St Ne, Suite 2100, Marietta, GA 30060-1176 2015-11-18
1336543529 Wellstar Medical Group, LLC Internal Medicine 61 Whitcher St Ne, Suite 4100b, Marietta, GA 30060-1181 2014-10-16
1346660198 Catherine Chmiel Nurse Practitioner 61 Whitcher St Ne, Suite 4100, Marietta, GA 30060-1176 2014-04-20
1467885863 Wellstar Medical Group, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 61 Whitcher St Ne, Suite 4100, Marietta, GA 30060-1176 2013-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164969192 Henry Payton Physician Assistant 1001 Burnt Hickory Rd Nw, Apt 231, Marietta, GA 30064-1368 2017-01-29
1588087944 William Dalton Physician Assistant 4455 Lower Roswell Rd, 684121, Marietta, GA 30068-0149 2014-01-21
1205277043 Carmeceia Lavonde Dowdell Physician Assistant 626 Pecan Knoll Dr, Marietta, GA 30008-3102 2013-07-09
1275895963 La Tosha Eugena Walker Physician Assistant 409 Bloombridge Way Nw, Marietta, GA 30066-3486 2012-06-09
1306008032 Marlys Joel Physician Assistant 4084 Audubon Dr, Marietta, GA 30068-2605 2008-06-25
1659531945 Michelle Yvonne Larue Physician Assistant 4653 Pond Ln, Marietta, GA 30062-5618 2008-06-11
1467640649 Wendy Kae Jetton Physician Assistant 915 Randall Ct Nw, Marietta, GA 30064-4724 2007-10-12
1154446433 Rhonda Kay Thompson Herring Physician Assistant 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060 2007-03-19
1508918475 Aneeta Anderson Physician Assistant 4488 Pine Hill Ter Ne, Marietta, GA 30066-2419 2007-01-18
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Competitor

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City MARIETTA
Zip Code 30060

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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